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That's interesting, and almost seem related to what you see in the first weeks of anti-depressant therapy (especially in teens). The depression and distorted thinking haven't changed, but they get a huge blast of energy. It's one of the possible explanations for why the first few weeks on an anti-depressant are particularly risky in terms of suicide.

It does take that odd combination of pain and energy to drive people to end their lives, not just despair and enervation.




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